The Captivation Code Application Form
Hi! I'm so excited to see you here! After you've answered the questions below you'll be able to book yourself in for a free Captivation Audit with me. Your answers will help me get a better understanding of where you're at, how I can best help, and whether The Captivation Code would be your perfect next move. Let's do this!
Email *
What's your full name? *
Tell me a little bit about your business. Who do you help? What do you offer? How long have you been doing this? *
What are the 1-3 main obstacles or struggles you're experiencing in your business right now? *
What have you tried before to overcome these? If it didn't work, why do you think that was? *
What's one thing that you really want to make a reality in the next 6 months? Why is that important to you? *
Why do you feel that it's time to focus on building your brand so that it's a true reflection of you and where you're headed? *
What's your *current* monthly income? *
What's your *desired* monthly income? *
What's important for you in a mentor or coach? Why do you think I (Suzi!) could be a great mentor or coach for you? *
Anything else you'd like to share? *
How did you find out about this program? *
Required
The investment to work with me starts at £500 a month. If the program is the right fit, are you ready to make this investment? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Captivation House. Report Abuse